Individual
FRANK GONZALEZ ESTEVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
400 OLD GRANDE BLVD, TYLER, TX 75703-4178
(305) 390-6674
Mailing address
400 OLD GRANDE BLVD, TYLER, TX 75703-4178
(305) 390-6674
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-406
TX
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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